While the staff truggle to find some time to decorate the ward and Connor laments having to participate in the Christmas pageant, Mitch is forced to face some of the demons of his past in order to treat a woman who has presented with sudden, unexplained paralysis. Carol Sherwood collapsed on the sidewalk but tests reveal no physical explanation for the paralysis. On learning Carol did a stint as an aid worker in Somalia, Mitch starts to suspect the problem might have a psychological basis. In helping the paralysed aid-worker come to terms with memories of war-torn Africa, Mitch re-evaluates his own future, asking Terri if there is any hope for them.

A couple in room one are desperately trying to have their baby without her parents finding out. Rachel is Jewish, her husband Joe is Catholic. They have eloped to avoid the arguments their relationship has caused but now Rachel starts thinking she wants to have her mum and dad with her at this very special time. It is Jared who helps Rachel celebrate Hanukkah while Terri tries to bridge the gap between parent and child. She hopes witnessing the love between his daughter and Joe and holding his grandchild will convince Rachel's father to accept a gentile in his family.

Ben and Bron are on a Santa-collecting expedition as store and street Santas fall victim to various mishaps. When they are called to the house of a young boy, Shane, who has broken his arm, they are saddened to learn the boy's friend has just told him Santa does not really exist. Treating the boy's injuries is one thing, rekindling the joy of Christmas proves to be quite another. Help arrives in the form of a mugged Santa who spent last Christmas on Ward 17 — it is amazing what having Santa knock on your door can do to a child's belief in Christmas.

Steph is on cloud nine as she gives Ben his Christmas present early by announcing that she is pregnant. Although she and Ben agree to keep the news to themselves, they have trouble containing their excitement.

Terri is pleasantly surprised to find her flat decorated when she returns from work. Assuming Mitch is responsible, she won't believe his protestations he has not broken into her flat and decorated the tree he delivered earlier. Once everyone has gone, a knock on the door has her convinced Mitch has returned to take credit for the decorating. But it is someone else who wants to wish Terri a Merry Christmas...